TY - JOUR
T1 - Barriers and Pathways to Changing Smoking and Risky Drinking in Primary Care Patients With Chronic Conditions Who Failed to Respond to Brief Advice
AU - Gass, Julie C.
AU - Funderburk, Jennifer S.
AU - Maisto, Stephen A.
N1 - Funding Information:
Submitted: October 13, 2020; accepted January 15, 2021. Published online: August 19, 2021. Disclosure of off-label usage: The authors have determined that, to the best of their knowledge, no investigational information about pharmaceutical agents or device therapies that is outside US Food and Drug Administration–approved labeling has been presented in this article. Financial disclosures: The authors have no personal affiliations or financial relationships with any commercial interest to disclose relative to this article. Funding/support: This study was supported by a VA Center for Integrated Healthcare Pilot Program grant in the amount of $14,577. Writing of this manuscript was supported in part by the Department of Veterans Affairs Office of Academic Affiliations, Advanced Fellowship Program in Mental Illness Research and Treatment, the VA Center for Integrated Healthcare, VA Western New York Healthcare System at Buffalo. Dr Gass is supported by the VA Office of Research and Development, Health Services Research and Development Career Development Award Program (grant K2 HX002610). Role of the sponsor: The sponsor (VA Center for Integrated Healthcare) provided feedback on study design prior to funding this project. Disclaimer: The views expressed in this article are those of the authors alone and do not represent the US Federal Government or the Department of Veterans Affairs. Previous presentation: Portions of this study have been presented at the 2019 Annual Meeting at the Research Society on Alcoholism; June 22–26, 2019; Minneapolis Minnesota. Additional information: The data underlying this article cannot be shared publicly due to it including protected federally regulated VHA-electronic medical record data. All procedures in this study were approved by the VA Western New York Healthcare System Institutional Review Board.
Publisher Copyright:
© 2021 Physicians Postgraduate Press, Inc.
PY - 2021
Y1 - 2021
N2 - Objective: Many individuals who smoke tobacco or consume alcohol at hazardous levels have chronic conditions that are caused or exacerbated by these behaviors. The objective of this survey study was to obtain data on the health care concerns, barriers, and readiness to change indicators of smokers/ risky drinkers with related health conditions who have not responded to standard primary care interventions. Methods: 167 participants (120 who reported current smoking or risky drinking or both) completed a 1-time mailed survey in 2017/2018. Participants were asked about smoking and drinking habits, physical health and impairments, health-related concerns, and barriers and readiness to change smoking and drinking. Results: For smokers and drinkers, the most common health concern was cardiovascular related (22% and 19%, respectively), though co-users were more concerned about pain. The most common barriers to change were lacking motivation and belief that alcohol/tobacco was not impacting their health. For smokers and drinkers, stronger beliefs that smoking/drinking does not affect their health was associated with lower importance of changing. Conclusions: Data from this study suggest that the main reasons patients report not changing are based on deficits in motivation and likely in information. In a group of patients who all have conditions that contraindicate smoking and risky drinking, their belief that their behaviors do not cause problems and that their health is not affected by their behaviors suggests a need for increased, focused education.
AB - Objective: Many individuals who smoke tobacco or consume alcohol at hazardous levels have chronic conditions that are caused or exacerbated by these behaviors. The objective of this survey study was to obtain data on the health care concerns, barriers, and readiness to change indicators of smokers/ risky drinkers with related health conditions who have not responded to standard primary care interventions. Methods: 167 participants (120 who reported current smoking or risky drinking or both) completed a 1-time mailed survey in 2017/2018. Participants were asked about smoking and drinking habits, physical health and impairments, health-related concerns, and barriers and readiness to change smoking and drinking. Results: For smokers and drinkers, the most common health concern was cardiovascular related (22% and 19%, respectively), though co-users were more concerned about pain. The most common barriers to change were lacking motivation and belief that alcohol/tobacco was not impacting their health. For smokers and drinkers, stronger beliefs that smoking/drinking does not affect their health was associated with lower importance of changing. Conclusions: Data from this study suggest that the main reasons patients report not changing are based on deficits in motivation and likely in information. In a group of patients who all have conditions that contraindicate smoking and risky drinking, their belief that their behaviors do not cause problems and that their health is not affected by their behaviors suggests a need for increased, focused education.
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U2 - 10.4088/PCC.20m02836
DO - 10.4088/PCC.20m02836
M3 - Article
C2 - 34416103
AN - SCOPUS:85114846023
SN - 2155-7772
VL - 23
JO - The primary care companion for CNS disorders
JF - The primary care companion for CNS disorders
IS - 4
M1 - 20m02836
ER -